-
Comparative Study
Circulatory support during cardiac arrest using a pneumatic vest and abdominal binder with simultaneous high-pressure airway inflation.
- J T Niemann, J P Rosborough, R A Niskanen, and J M Criley.
- Ann Emerg Med. 1984 Sep 1;13(9 Pt 2):767-70.
AbstractAnimal and clinical studies suggest that blood flow during closed-chest cardiopulmonary resuscitation (CPR) results from phasic intrathoracic pressure fluctuations produced by rhythmic sternal depressions rather than from cardiac compression. Using physiologic observations made in animals and human beings during circulatory collapse and vigorous coughing, a pneumatic thoracic vest garment and abdominal binder device has been designed to emulate "cough CPR." Hemodynamic findings and microsphere regional perfusion observed during cardiac arrest and airway/vest/binder inflation are comparable to those observed during simultaneous chest compression and pulmonary ventilation CPR (SCV-CPR). Resuscitation and survival using the device has been compared to survival rates using conventional closed-chest CPR. The vest/binder apparatus significantly improved the coronary perfusion gradient and survival. Further studies are in progress to determine the clinical utility of this promising resuscitation adjunct.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..